G1008: Clinical Records
CMS level: Condition Serious. On this site, a condition-level citation is labeled Serious, a standard-level citation Moderate, and an element-level citation Minor. What the labels mean · How to choose an agency
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. CMS source file. What the labels mean
Where it was cited
- California58
- Indiana26
- Michigan26
- Iowa11
- Colorado9
- Illinois9
- Oklahoma6
- Pennsylvania6
- Utah6
- Connecticut5
- Missouri4
- Nebraska4
- West Virginia4
- Florida3
- Rhode Island3
- Minnesota2
- Nevada2
- Texas2
- Alaska1
- Alabama1
- Arkansas1
- Arizona1
- District of Columbia1
- Kansas1
- Massachusetts1
- Maryland1
- Montana1
- New York1
- Ohio1
- Puerto Rico1
- Wisconsin1
Most recent citations
The 20 most recent of 199 citations. Newest inspection first.
Gmm Home Health Care, Inc
Failed to ensure Condition of Participation (COP, conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare [a federal system of health insurance for people over 65 years of age and for certain younger people with disabilities]) for Clinical…
Allied Home Health Corp
An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure patient clinical records were complete and accurate by: 1. Ensuring that 4 of 5 sampled patients (Patients 1,3,4, and 5) had completed discharged orders and summaries.
Golden Care of Northeast PA, Inc
The agency failed to ensure clinical notes retrievable two (2) of five (5) patients.
Happy Visit Home Health
The Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [is federal…
American Nursing Home Health Care, Inc
The agency failed to ensure the clinical record was complete and included all clinical notes and complete medical record (See G1012); and failed to ensure a discharge summary was forwarded to the physician within 5 days of discharge and 2 days of transferring to an inpatient facility, resulting in…
Unison Health Services, Inc
An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…
Dina Sova Home Health Care, Inc.
An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Clinical…
Neogen Care Corp
Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (CoP, refers to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Clinical Records was met as follows: 1. The HHA failed to ensure…
Blue Sky Home Health Care, Inc
This CONDITION is NOT MET as evidenced by: Based on interview, observation, and record review, the Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure the Condition of Participation regarding…
Aplus Health Care LLC
The home health agency failed to meet the Condition of Participation for clinical records, 42 CFR § 484.110 at G1008. The agency failed to ensure accurate and complete medical records were available to ensure safe care was delivered.
Pegasus Home Health Care, Inc.
An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…
Prohealth Home Care, Inc
The Home Health Agency (HHA) failed to ensure their clinical records (comprehensive, chronological documents detailing a patient's health history, including assessments, diagnoses, treatments, and plan of care) contained accurate documentation that met the standards of practice (a set of standards…
K & K Home Health Care, Inc
An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs) regarding…
Comfort Care Home Health
An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
Advance Home Health South
Agency failed to authenticate clinical records and failed to retain clinical records beyond 6 months.
A & M Miracle Home Health Care, Inc
The Home Health Agency (HHA) failed to ensure the Condition of Participation for Clinical Records was met as follows: 1.The HHA failed to ensure four of five sampled patients (Patient 4, Patient 9, Patient 10, and Patient 11) clinical records were accurate and contained all required documentation.
Revolutionary Home Health Inc
The agency failed to ensure electronic physician order approval authentication had been completed in accordance with agency policy/procedures for two (2) of four (4) patients for whom orders for missed visits had been obtained.
Parc Home Care
The agency failed to ensure the clinical record was complete and included all clinical notes for 1 (P-1) of 3 records reviewed (see G1012); and failed to ensure a discharge summary was forwarded to the physician within 5 days of discharge in 1 (P-1) of 2 closed records (see G1022).
Gibraltar Home Health Services LLC
1.Based on interview and record review, the Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure clinical records were written and authenticated (verifying accuracy, authorship, and validity of documentation)…
California Nurses Home Health Services
The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure the Condition of Participation regarding Clinical Records was met as follows: 1. The HHA failed to ensure three of seven sampled patients…